Ua rau, paub thiab kho
Serotonin Syndrome yog ib qho mob uas muaj feem cuam tshuam rau lub cev uas yog tshwm sim los ntawm cov kab mob siab serotonin nyob hauv tus neeg lub cev. Cov tshuaj no yuav raug coj los ntawm kev siv cov tshuaj "serotonergic", uas muaj ntau hom tshuaj antidepressants xws li SSRIs (selective serotonin reuptake inhibitors) xws li Paxil thiab Celexa , tricyclics nyiam amitriptyline thiab trimipramine, thiab MAOIs (monoamine oxidase inhibitors) zoo li Nardil thiab Parnate.
Lwm cov tshuaj uas ua rau muaj serotonin syndrome muaj xws li St. John's wort , cocaine, L-tryptophan, lithium, amphetamines, ecstasy, thiab LSD.
Tsis tas li, qee cov tshuaj noj uas tsis yog kev puas siab puas ntsws tuaj yeem cuam tshuam txog qib serotonin hauv cov hlab ntsha. Vim li no, nws tseem ceeb heev uas tag nrho koj cov kws kho mob uas tau sau tshuaj yuav tsum paub txhua yam tshuaj thiab cov tshuaj uas koj tab tom noj.
Tag nrho cov yeeb tshuaj thiab tshuaj yeeb no cuam tshuam rau cov neurotransmitter serotonin hauv qee txoj kev. Qee cov leeg mob hlwb; qee tus txheej txheem rov tuaj ; Qee cov qeeb ntawm serotonin qeeb; qee qhov kev tso tawm ntawm serotonin (rau ib qho piv txwv, saib Txoj Kev Tshuaj thiab BP: Ecstasy ). Qee tus neeg lub cev yeej muaj qeeb qeeb dua li ib txwm nyob ntawm cov kab mob metabolin. Nolan thiab Scoggin qhia tias cov neeg mob uas muaj kab mob vascular yog cov muaj kab mob siab rau serotonin syndrome. (Saib cov neeg ntawm lub paj hlwb rau kev piav qhia yooj yim ntawm txoj kev ntawm qee qhov ntawm cov haujlwm no ua haujlwm.)
Yuav luag txhua cov tshuaj tua kab mob (antidepressants) muaj kev ceeb toom hais tias cov neeg mob yuav tsum tos ob lub lis piam (qee zaum ntau dua) ntawm kev hloov ntawm ib hom tshuaj MAOI thiab lwm hom tshuaj antidepressant (hauv ob sab). Ib qho ntawm lub hauv paus tseem ceeb tshaj plaws rau qhov no yog qhov txaus ntshai uas muaj ob hom kev siv tshuaj nyob rau hauv ib qho kev ua haujlwm yuav ua tau rau serotonin syndrome.
Prozac (fluoxetine) tshwj xeeb tshaj yog siv ob peb lub lis piam mus yaug tawm ntawm lub cev.
Cov tsos mob
Cov tsos mob ntawm cov tsos mob nquag muaj xws li serotonin syndrome yog:
- Sudden swirling or shock-like movements
- Tso dej los yog daj ntseg
- Qeeb los sis yoo nqhis
- Ua npaws
- Mob taub hau
- Ntxhov siab vim
- Nqaij rigidity
- Tsis meej pem
- Nyob tsis tswm
- Paub kev tawm hws
- Tremor
- Kev sib nraus tsis zoo
- Ua pa nyuaj
- Tsis zoo siab lub plawv dhia
- Ntshav siab
- Tug tsho
Muaj lwm cov kev mob ntsig txog lwm yam kev mob ntsws, lub siab ntsws paj hlwb (NMS), uas muaj qee cov tsos mob tib yam li tus kab mob serotonin syndrome. Thaum cov kws kho mob pom tau tias tus neeg mob uas tuaj yeem pom cov tsos mob no, nws tseem ceeb heev uas lawv paub ntau li ntau tau txog tus neeg mob cov tshuaj keeb kwm. Qhov no yog vim tus kab mob serotonin no feem ntau tshwm sim sai sai tom qab pib siv tshuaj, thaum NMS feem ntau yuav siv sijhawm txog ib lub hlis los qhia.
Kev kho mob
Thawj kab ntawm kev kho mob yog mus tsum tag nrho cov tshuaj uas muaj feem xyuam rau serotonin. Benzodiazepines tej zaum yuav pab tau kom txo tau cov tsos mob ntawm cov leeg, thiab kev pab txhawb kuj yuav tsim nyog rau tej yam mob xws li kev ua pa nyuab siab. Cov yeeb tshuaj uas ua txhaum tawm tsam serotonin yuav pab tau zoo.
Feem ntau, cov tsos mob tshwm sim sai sai thaum ua tiav qhov no thiab tus neeg mob rov qab tuaj.
Txawm li cas los xij, nws yuav tsum ua kom pom tias serotonin syndrome tuaj yeem ua kom tuag, yog li nws yog qhov tseem ceeb uas yuav tau nrhiav kev pab tam sim ntawd yog tias koj lossis tus neeg hlub yuav tsum paub txog cov kev mob saum toj no tom qab pib antidepressant tshiab lossis hloov ntawm ib qho mus rau lwm qhov.
SSRI Discontinuation Syndrome
Nws yuav tsum tau sau tseg tias qee yam ntawm cov tsos mob uas muaj npe saum toj no kuj yuav tshwm sim tau thaum ib tus neeg nres qhov tshuaj tiv thaiv antidepressant los yog txuas nws sai heev. Kev ntxhov siab, kev mob taub hau, kev hnov tsw zoo, kev ua tsis zoo, kev ua kom qis, thiab kev tsis hnov lus zoo yog qee yam ntawm cov kev mob ntawm ob leeg tib si.
Saib hauv SSRI Discontinuation Syndrome kom paub qhov xwm txheej zoo li cas.
> Txawj xav:
> Nolan, S., thiab Scoggin, JA "Serotonin Syndrome: Vocabulary thiab Tswj." US Pharmacist 23: 2. http://www.uspharmacist.com/oldformat.asp?url=newlook/files/feat/acf2fa6.htm.
> Gomersall, C. "Serotonin Syndrome." Lub Xya Hli Ntuj 2006
> HealthyPlace.com. "Monoamine > Oxydase > Inhibitors (MAOIs)."